South Africa’s Cabinet of Ministers recently approved a White Paper on National Health Insurance aimed at moving the policy of universal health coverage further down the road. A National Health Insurance system would result in an integrated healthcare system founded on the principles of solidarity and redistribution of healthcare resources. The basic idea is that […]
The Spanish Ministry of Health recently rejected the use of QALYs in cost-effectiveness analyses. At issue is the subjective nature of the parameters used to develop the QALY. The Quality-Adjusted Life-Years (QALY) is a product of the change in utilities associated with a treatment multiplied by the time of treatment exposure. The QALYs gained combined […]
Mr. Daniel Yao Donkor, Nkwanta-North District Director of Health Services, has called on government to open a district National Health Insurance Scheme office for the area. He expressed worry that people in the District were unable to access NHIS because there was no office to facilitate the work of the scheme. Mr. Donkor made the […]
This week two panels of medical experts recommended fewer screening tests for breast and cervical cancer. And recently, men got similar advice about prostate cancer screening. The recommendations come from something called evidence-based medicine, and are being met with resistance from some consumer groups and physicians. Evidence-based medicine is a pretty simple concept. “The basic […]
News outlets focus on alleged fraud in the drug and insurance industries. “A $112 million settlement involving alleged drug kickbacks that the Justice Dept. announced with the nation’s largest nursing home pharmacy and a generic drug manufacturer on Nov. 3 is part of a wide-ranging investigation of suspected Medicaid fraud by the pharmaceutical industry,” Business […]
Carapinha, J. (2008) Setting the Stage for Risk-Sharing Agreements: International Experiences and Outcomes-based Reimbursement. South African Family Practice, 2008;50(4):62-65. Abstract
The patient perspective has not been heard during recent debates on healthcare restructuring â€“ this is the unheard voice of the patients. We often assume we know their needs and expectations. But this is not necessarily a failure on our part â€“ its simply about the perspective. I posit that we sitting on a tremendous […]
Ethics, as it is applied to decision making in managed health care, is a growing area of debate.